Admission to medical care in Venezuela is going through a fatal state, due to the terrible conditions that have reached the various health centers of public health, after the continuous decline to which they have been subjected for a few years. This concern is compounded by the large levels of drug shortages for people to adequately perform their treatments; of reagents and supplies for diagnostic tests; of basic supplies and pieces of medical equipment for the operation of the health system, both public and private.

The health centers of public health have drastically reduced their quality of care. Due to the great economic value of the private services and the low insurance coverage of the communities, most of the people, mainly those with few resources, have continued to attend public hospitals and outpatient clinics, currently presenting themselves with the following problems:

1. Severe shortage of medicines, reagents and supplies.

There are dramatic scarcity levels in 2013 and 2014, reporting failures of 37% to 50% in drugs. The lack of supplies has affected 1,200 drugs, whose prices were regulated since 2003, for the treatment of infectious diseases, hypertension, diabetes, thyroid, psychotropic and oncological. Also high-cost medications that the Venezuelan Institute of Social Security (IVSS) and the Ministry of the Popular Power for Health (MPPS) supplies to people in a chronic state of health: oncology, hematology, heart disease, hypertension, diabetes and HIV have disappeared. .

2. Great lack of beds.

According to the international criterion of public hospital beds (3 per 1,000 inhabitants), Venezuela has a huge deficit, which has increased in recent years to reach 70%. According to statistics from the Pan American Health Organization (PAHO), between 2005-2008, the bed rate in Venezuela was 1.3 per 1,000 inhabitants and, between the years 2009-2011, it fell to 0.9 per 1,000. population.

3. It deteriorates in sanitary policies.

During the last few years, the application of vaccines has been reduced nationwide, the maternal and infant mortality rate has increased, diseases have increased due to parasites and vectors, the supply of treatments and interventions for people in chronic conditions has been paralyzed on several occasions. and the limited availability of means for early diagnosis worsened.

4. Decreased attention to rural populations.

The difficulties for the availability of minimal health care to people in remote areas are extremely high. Some states face extreme problems in the provision of food and medicine, air transportation services and fluvial ambulances, availability of medical centers. The few centers have a serious shortage in all areas.

5. Lack of an emergency care system

There is no emergency care system in the country. People injured, burned, injured and infarcted, undergo unnecessary transfers that shorten the possibility of life, due to transport deficiencies, emergency beds, operating rooms and specialists in emergency services.

6. Neglected infrastructures.

The public health centers have too many failures of infrastructure and basic services that result in the frequent collapse of sewage systems, lack of water, lighting, elevators and air conditioning. The constant electrical faults in the interior of the country cause damage to vital medical equipment for the diagnosis and treatment of patients.